Organization
COLUMBIA EYE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL BODENDORFER MD (OWNER)
(386) 755-2785
Entity
Organization
Contact information
Practice address
1615 SW MAIN BLVD, LAKE CITY, FL 32025-1108
(386) 755-2785
(386) 755-1128
Mailing address
PO BOX 489, LAKE CITY, FL 32056-0489
(386) 755-2785
(386) 755-1128
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME78478
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001933700
—
FL
01
—
DB1077
RAILROAD MEDICARE
FL
Enumeration date
09/15/2007
Last updated
04/10/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us